Individual provider Active NPI

Marta McKeague, M.D.

  • Ophthalmology Physician
  • Valley Stream, NY
National Provider Identifier
1669815627
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
292832 Issued in NY
Practice address
70 E Sunrise Hwy Ste 400
Valley Stream, NY 11581-1233
Phone
(516) 374-4199
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 292832 NY Primary

Addresses

Primary practice location

70 E Sunrise Hwy Ste 400
Valley Stream, NY 11581-1233

Mailing address

825 E Gate Blvd Ste 111
Garden City, NY 11530-2124
Phone (516) 804-5200

Other practice location 1

185 Madison Ave Fl 2
New York, NY 10016-0069
Phone (212) 689-7676

Other identifiers 1

IdentifierTypeStateIssuer
5092535MedicaidNY

Other names 1

  • Dr. Marta Melnyk Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180522002612 NY Practitioner - Ophthalmology 9436377603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Consultants of Long IslandGroup PAC ID 8022909076, 107 clinicians

Practice addresses (Care Compare)

3127 41St St
Astoria, NY 11103-3901
Phone (718) 728-3400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery92

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Consultants of Long Island Ophthalmology CurrentSince May 2, 2018 Accepting new patients
Harry Robert Maximilan Koster, MD PC Ophthalmology Current Accepting new patients
Ophthalmic Consultants of Long Island Ophthalmology Past Accepting new patients
Vantage Eyecare, LLC Past Accepting new patients

Locations

3127 41st St
Astoria, NY 11103
Phone (212) 353-9443

3127 41st St
#13292
Astoria, NY 11103

4 Technology Dr
Ste 150
East Setauket, NY 11733
Phone (631) 941-1400

711 Stewart Ave
Ste 160
Garden City, NY 11530
Phone (516) 500-4200

825 E Gate Blvd
Ste 111
Garden City, NY 11530
Phone (516) 804-5200

450 Endo Blvd
Garden City South, NY 11530
Phone (516) 832-8000

755 Park Ave
Ste 1
Huntington, NY 11743

185 Madison Ave
Fl 2
New York, NY 10016
Phone (212) 213-3737

11915 Atlantic Ave
Richmond Hill, NY 11418
Phone (718) 456-0503

2000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1777

2000 N Village Ave
Ste 402
Rockville Ctr, NY 11570
Phone (516) 766-2519

2000 N Village Ave
#13202
Rockville Ctr, NY 11570
Phone (516) 766-2519

70 E Sunrise Hwy
Ste 400
Valley Stream, NY 11581
Phone (516) 374-4199

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: marta.mckeaguemd.p1@direct.ocli.nextgenshare.com
  • Direct secure messaging: mmckeague@nyvision.intellechartdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1669815627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302124",
            "telephone_number": "516-804-5200",
            "fax_number": "516-240-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 E SUNRISE HWY STE 400",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115811233",
            "telephone_number": "516-374-4199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Madison Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100160069",
            "country_code": "US",
            "telephone_number": "212-689-7676",
            "fax_number": "212-213-4729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEAGUE",
        "first_name": "MARTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "292832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5092535",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "MELNYK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Valley Stream, NY

Sources for this page

Verify at the official NPI Registry.